Daily Events Report U.S. Nuclear Regulatory Commission Operations Center Event Reports For 01/20/2000 - 01/21/2000 ** EVENT NUMBERS ** 36595 36607 36608 36609 36610  !!!!!!!!! THIS EVENT HAS BEEN RETRACTED. THIS EVENT HAS BEEN RETRACTED !!!!!!! +----------------------------------------------------+ |Hospital |Event Number: 36595 | +----------------------------------------------------+ +----------------------------------------------------+ | REP ORG: VA COMMONWEALTH UNIV. HOSPITAL |NOTIFICATION DATE: 01/16/2000| |LICENSEE: VA COMMONWEALTH UNIV. HOSPITAL |NOTIFICATION TIME: 10:15[EST]| | CITY: RICHMOND REGION: 2 |EVENT DATE: 01/15/2000| | COUNTY: STATE: VA |EVENT TIME: 15:30[EST]| |LICENSE#: 45-00048-17 AGREEMENT: N |LAST |UPDATE DATE: 01/20/2000| | DOCKET: |+---------------------+ | |PERSON ORGANIZATION | | |ROBERT HAAG R2 | | |CHARLEY HAUGHNEY NMSS | +-------------------------+ | | NRC NOTIFIED BY: MARY BETH TAORMINA | | | HQ OPS OFFICER: BOB STRANSKY | | +-------------------------+ | |EMERGENCY CLASS: N/A | | |10 CFR SECTION: | | |LADM 35.33(a) MED MISADMINISTRATION | | | | | | | | | | | | | | +----------------------------------------------------+ EVENT TEXT +----------------------------------------------------+ | MEDICAL MISADMINISTRATION | | | | A patient received a 30% underdose after one of four | strands of Ir-192 seeds | | became dislodged immediately following implantation. | The activity of the | | strands was 7.5 mCi, 8.7 mCi, 6.0 mCi, and 7.6 mCi. | (The licensee did not | | specify which strand became dislodged.) The strand | was removed from the | patient's bed shortly | thereafter when the linen was changed. The licensee | is | | currently reconstructing this event but does not | believe that any employee | | received a significant dose. | | | | (Call the NRC operations office for a contact | telephone number.) | | | | * * * UPDATE 0838 EST ON 1/20/00 FROM MARY BETH | TAORMINA TO S. SANDIN * * | | * | | | | The licensee is retracting this report based on a | re-evaluation of the | | patient treatment plan which concluded that the | underdose was 15% and, as | | such, did not meet the 20% criteria for a | misadministration. This finding | was discussed | with Region 2. Notified R2DO (Fredrickson) and NMSS | (Moore). | +----------------------------------------------------+  +----------------------------------------------------+ |Power Reactor |Event Number: 36607 | +----------------------------------------------------+ +----------------------------------------------------+ | FACILITY: ZION REGION: 3 |NOTIFICATION DATE: 01/18/2000| | UNIT: [1] [2] [] STATE: IL |NOTIFICATION TIME: 19:15[EST]| | RXTYPE: [1] W-4-LP,[2] W-4-LP |EVENT DATE: 01/18/2000| +----------------------+EVENT TIME: 18:02[CST]| | NRC NOTIFIED BY: R. T. THORTON |LAST | UPDATE DATE: 01/20/2000| | HQ OPS OFFICER: LEIGH TROCINE +----------+ +----------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |DAVID HILLS R3 | |10 CFR SECTION: |ROBERTA WARREN IAT | |DDDD 73.71 UNSPECIFIED PARAGRAPH |JIM CREED IAT | | |JIM BELANGER IAT | | |DICK ROSANO IAT | | |STEVE REYNOLDS R3 | +-----+------+-------+-------+-------+-------+-------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+------+-------+-------+-------+-------+-------+ |1 N N 0 Decommissioned |0 Decommissioned | |2 N N 0 Decommissioned |0 Decommissioned | | | | +----------------------------------------------------+ EVENT TEXT +----------------------------------------------------+ | SECURITY REPORT | | | | UNSUBSTANTIATED BOMB THREAT. COMPENSATORY MEASURES | TAKEN. LICENSEE | | INFORMED THE LOCAL POLICE DEPARTMENT. | +----------------------------------------------------+  +----------------------------------------------------+ |Power Reactor |Event Number: 36608 | +----------------------------------------------------+ +----------------------------------------------------+ | FACILITY: SAN ONOFRE REGION: 4 |NOTIFICATION DATE: 01/20/2000| | UNIT: [] [] [3] STATE: CA |NOTIFICATION TIME: 17:31[EST]| | RXTYPE: [1] W-3-LP,[2] CE,[3] CE |EVENT DATE: 01/20/2000| +----------------------+EVENT TIME: 14:00[PST]| | NRC NOTIFIED BY: WILLIAMS |LAST | UPDATE DATE: 01/20/2000| | HQ OPS OFFICER: CHAUNCEY GOULD +---------+ +----------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |LINDA SMITH R4 | |10 CFR SECTION: | | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | |NLCO TECH SPEC LCO A/S | | | | | | | | +-----+------+-------+-------+-------+-------+-------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+------+-------+-------+-------+-------+-------+ | | | | | | |3 N Y 100 Power Operation |100 Power Operation | +----------------------------------------------------+ EVENT TEXT +----------------------------------------------------+ | CABLES AND CONDUITS IN THE SALT WATER COOLING PIPE | TUNNEL FOUND WITHOUT A | | PORTION OF THEIR FIRE WRAPS. | | | | ON 1/19/00, FOLLOWING A PLANT WALKDOWN, IT WAS | DISCOVERED THAT SOME CABLES | AND CONDUITS IN THE | SALT WATER COOLING PIPE TUNNEL WERE MISSING | PORTIONS OF | | THEIR FIRE WRAPS. AFTER REVIEW OF PLANT | DOCUMENTATION, IT WAS DETERMINED | | THAT THIS CONDITION AFFECTED BOTH TRAIN "A" AND "B" | SALT WATER COOLING | PUMPS FOR UNIT 3. | CONSEQUENTLY ON 1/20/00 @ 1400 PST IT WAS CONCLUDED | THIS | CONDITION DID NOT MEET THE REQUIREMENTS OF | APPENDIX "R" TO ASSURE ONE TRAIN | | OF SAFE SHUTDOWN EQUIPMENT FREE OF FIRE DAMAGE IN | THE EVENT OF A DESIGN | | BASIS FIRE. | | | | THE LICENSEE IMMEDIATELY ENSURED THAT A ROVING FIRE | WATCH HAD BEEN | | POSTED(AND WAS ALREADY IN PLACE FOR OTHER UNRELATED | REASONS). THIS ACTION | | SATISFIED THEIR LCO ACTION STATEMENT REQUIREMENT. | | | | IN THE EVENT OF A FIRE, PLANT OPERATORS WOULD HAVE | BEEN ABLE TO RESTORE | POWER TO THE SALT WATER | COOLING SYSTEM(BY ISOLATING THE AFFECTED CABLES AND | | | STARTING A PUMP FROM ITS SECOND POINT OF CONTROL). | ADDITIONALLY, THE | | COMBUSTIBLE LOADING IN THE AFFECTED AREA IS | EXTREMELY LOW(2 MINUTE FIRE | | DURATION), AND THAT AREA IS PROTECTED BY FIRE | SPRINKLERS AND FIRE | | DETECTORS. | | | | THE NRC RESIDENT INSPECTOR WILL BE NOTIFIED. | +----------------------------------------------------+  +----------------------------------------------------+ |Power Reactor |Event Number: 36609 | +----------------------------------------------------+ +----------------------------------------------------+ | FACILITY: BEAVER VALLEY REGION: 1 |NOTIFICATION DATE: 01/20/2000| | UNIT: [] [2] [] STATE: PA |NOTIFICATION TIME: 19:05[EST]| | RXTYPE: [1] W-3-LP,[2] W-3-LP |EVENT DATE: 01/20/2000| +----------------------+EVENT TIME: 18:17[EST]| | NRC NOTIFIED BY: HYNES |LAST | UPDATE DATE: 01/20/2000| | HQ OPS OFFICER: CHAUNCEY GOULD +---------+ +----------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |FELICIA HINSON R1 | |10 CFR SECTION: | | |AOUT 50.72(b)(1)(ii)(B) OUTSIDE DESIGN BASIS | | | | | | | | | | | +-----+------+-------+-------+-------+-------+-------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+------+-------+-------+-------+-------+-------+ | | | |2 N Y 100 Power Operation |100 Power Operation | | | | +----------------------------------------------------+ EVENT TEXT +----------------------------------------------------+ | INADEQUATE SHORT CIRCUIT PROTECTION ON CONTROL | WIRING ASSOCIATED WITH THE | | LINE STARTER FOR MAIN TURBINE DRAIN VALVES | | | | While performing a design analysis on Beaver Valley | Unit 2 (BV-2) to confirm | | adequate electrical fault protection, as follow-up | to an Engineering fire | protection | self-assessment completed in May 1999, it was | determined that the | | control wiring associated with the line starter for | the nine main turbine | | drain valves is not adequately protected from short | circuits. This | protection inadequacy | results from a lack of required fuse protection | and/or | | current limiting features described in Section | 9.5.A.1.2.1.5(4) of the | Updated Final Safety | Analysis Report. Due to this lack of adequate | current | | limiting protection, an electrical fault on this | circuit could result in a | fire in multiple fire | areas including the common Unit 1/2 Control Room, | BV-2 | | Service Building, BV-2 Cable Vault, BV-2 Cable | Tunnel, and BV-2 Turbine | | Building. The lack of current limiting protection | for this circuitry | | introduces the possibility of a potential fire in | these multiple areas, | | which is a violation of fire protection licensing | basis commitments | | regarding safe shutdown capability. | | | | The subject main turbine drain valves are non-safety | related and not | | required for safe shutdown. As an interim measure, | the circuit has been | | de-energized and will remain de-energized until | adequate electrical | | protection can be provided. | | | | The NRC Resident Inspector was notified. | +----------------------------------------------------+  +----------------------------------------------------+ |Power Reactor |Event Number: 36610 | +----------------------------------------------------+ +----------------------------------------------------+ | FACILITY: POINT BEACH REGION: 3 |NOTIFICATION DATE: 01/21/2000| | UNIT: [1] [] [] STATE: WI |NOTIFICATION TIME: 04:21[EST]| | RXTYPE: [1] W-2-LP,[2] W-2-LP |EVENT DATE: 01/21/2000| +----------------------+EVENT TIME: 02:39[CST]| | NRC NOTIFIED BY: JOHN SELL |LAST | UPDATE DATE: 01/21/2000| | HQ OPS OFFICER: STEVE SANDIN +----------+ +----------------------+PERSON ORGANIZATION | |EMERGENCY CLASS: N/A |DAVID HILLS R3 | |10 CFR SECTION: | | |ASHU 50.72(b)(1)(i)(A) PLANT S/D REQD BY TS | | | | | | | | | | | +-----+------+-------+-------+-------+-------+-------+ |UNIT |SCRAM CODE|RX CRIT|INIT PWR| INIT RX MODE |CURR PWR| CURR RX MODE | +-----+------+-------+-------+-------+-------+-------+ |1 M/R Y 40 Power Operation |0 Hot Standby | | | | | | | +----------------------------------------------------+ EVENT TEXT +----------------------------------------------------+ | UNIT 1 MANUALLY TRIPPED FROM 40% POWER DUE TO A | DECREASING FOREBAY LEVEL | | | | "UNIT 1 WAS MANUALLY TRIPPED FROM 40% POWER AFTER AN | ANTICIPATORY POWER | | REDUCTION AT 0239CST DUE TO DECREASING LEVEL IN THE | CIRC. WATER INLET | | FOREBAY. DECREASING LEVEL WAS APPARENTLY DUE TO | ICING OF THE INTAKE | STRUCTURE. UNIT 1 | CIRC. WATER SYSTEM HAS BEEN SECURED AND FOREBAY | LEVEL HAS | | INCREASED. THE UNIT 1 CIRC. WATER SYSTEM WAS | SECURED TO MAINTAIN | | OPERABILITY OF THE SERVICE WATER SYSTEM. UNIT 2 | REMAINS AT 100% POWER AND | | IS STABLE." | | | | FOREBAY LEVEL HAD DECREASED TO -11 FT FROM THE | NORMAL OPERATING -8 FT. THE | -11 FT CORRESPONDS | TO THE MINIMUM DESIGN LIMIT FOR THE SERVICE WATER | SYSTEM. | CURRENTLY, LEVEL IS -6 FT 4 INCHES. STEAM | GENERATORS USING THE ATMOSPHERIC | DUMPS ARE | PROVIDING THE HEAT SINK FOR DECAY HEAT REMOVAL SINCE | THE CONDENSER | | IS NOT IN SERVICE. ALL CONTROL RODS FULLY INSERTED | FOLLOWING THE MANUAL | | TRIP. | | | | THE LICENSEE WILL INFORM THE NRC RESIDENT INSPECTOR. | + +----------------------------------------------------+ 

-- Trish (adler2@web.tv), January 21, 2000

Answers

POINT BEACH 1 0% 01/20/00
Hot Standby
MANUAL REACTOR TRIP FROM 40%
POWER DUE TO DECREASING FOREBAY
LEVEL IN THE INTAKE STRUCTURE -
SEE EVENT #36610


-- spider (spider0@usa.net), January 21, 2000.

"IT WAS | DISCOVERED THAT SOME CABLES | AND CONDUITS IN THE | SALT WATER COOLING PIPE TUNNEL WERE MISSING | PORTIONS OF | | THEIR FIRE WRAPS"

--squirrel king---give them BACK!!!

-- Hokie (Hokie_@hotmail.com), January 21, 2000.

These textxs are impossible to read unless you reformat them. To save yourself half an hour of manual deletion, try search and replace, then remove all the hard returns, then word wrap.

-- Forrest Covington (theforrest@mindspring.com), January 22, 2000.